Medical school: UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
Graduated: 2019
NPI: 1245790153
Practice Locations (1)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD 4TH FLOOR S, ORAL/MAXILL SURGERY PCAM
PHILADELPHIA, PA 191045127
2156623580
Source: CMS National Downloadable File, September 2026.